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为绝经前宫颈癌术后放疗患者保留卵巢功能,卵巢外侧移位(LOT)是一种较有用的技术。1978年~1988年作者对38例Ⅰ期宫颈癌病人作了LOT,分单纯LOT组24例,LOT加盆腔放疗组(LOT+ RT)14例(右侧LOT 6例,左侧2例,双侧6例)。14例因高危因素如淋巴结转移或手术切缘阳性及复发,术后行盆腔放疗(前后二野,总盆腔剂量4 000~4 800cGy),其中10例(71%)保留了卵巢功能。
Preserved cervical cancer patients with postoperative radiotherapy retained ovarian function, lateral ovarian displacement (LOT) is a more useful technique. From 1978 to 1988, 38 patients with stage I cervical cancer were treated with LOT, 24 patients in simple LOT group and 14 patients in LOT plus pelvic radiotherapy group (LOT + RT), 6 patients (right LOT 6, left 2 patients, bilateral 6 cases). Fourteen cases were treated with pelvic radiotherapy (two anteroposterior and distal field, total pelvic dose 4 000 ~ 4 800 cGy) due to the risk factors such as lymph node metastasis or surgical margin positive and recurrence, of which 10 (71%) retained ovarian function.